Idiopathic intracranial hypertension: consensus guidelines on management.

Mollan, Susan P and Davies, Brendan and Silver, Nick C and Shaw, Simon and Mallucci, Conor L and Wakerley, Benjamin R and Krishnan, Anita and Chavda, Swarupsinh V and Ramalingam, Satheesh and Edwards, Julie and Hemmings, Krystal and Williamson, Michelle and Burdon, Michael A and Hassan-Smith, Ghaniah and Digre, Kathleen and Liu, Grant T and Jensen, Rigmor Højland and Sinclair, Alexandra J (2018) Idiopathic intracranial hypertension: consensus guidelines on management. Journal of neurology, neurosurgery, and psychiatry, 89 (10). pp. 1088-1100. ISSN 1468-330X. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://jnnp.bmj.com/content/89/10/1088.long

Abstract

The aim was to capture interdisciplinary expertise from a large group of clinicians, reflecting practice from across the UK and further, to inform subsequent development of a national consensus guidance for optimal management of idiopathic intracranial hypertension (IIH).

METHODS

Between September 2015 and October 2017, a specialist interest group including neurology, neurosurgery, neuroradiology, ophthalmology, nursing, primary care doctors and patient representatives met. An initial UK survey of attitudes and practice in IIH was sent to a wide group of physicians and surgeons who investigate and manage IIH regularly. A comprehensive systematic literature review was performed to assemble the foundations of the statements. An international panel along with four national professional bodies, namely the Association of British Neurologists, British Association for the Study of Headache, the Society of British Neurological Surgeons and the Royal College of Ophthalmologists critically reviewed the statements.

RESULTS

Over 20 questions were constructed: one based on the diagnostic principles for optimal investigation of papilloedema and 21 for the management of IIH. Three main principles were identified: (1) to treat the underlying disease; (2) to protect the vision; and (3) to minimise the headache morbidity. Statements presented provide insight to uncertainties in IIH where research opportunities exist.

CONCLUSIONS

In collaboration with many different specialists, professions and patient representatives, we have developed guidance statements for the investigation and management of adult IIH.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WL Nervous system. Neurology
WN Medical imaging. Radiology
Divisions: Clinical Support > Radiology
Emergency Services > Neurology
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Depositing User: Beth Connors
Date Deposited: 11 Oct 2019 14:59
Last Modified: 11 Oct 2019 14:59
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2474

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